Principles of Clinical Practice

An Introductory Textbook

  • Mark B. Mengel

Table of contents

  1. Front Matter
    Pages i-xxiii
  2. Purposes of Clinical Practice

    1. Front Matter
      Pages 1-1
    2. Michael L. Parchman
      Pages 3-19
  3. Processes of Clinical Practice

    1. Front Matter
      Pages 45-45
    2. Alvah R. Cass, L. Peter Schwiebert
      Pages 47-77
    3. William M. Chop Jr., Stephen J. Spann
      Pages 79-98
    4. Daniel S. Marley, Mark B. Mengel
      Pages 99-123
    5. Mark B. Mengel
      Pages 125-153
    6. Gregory H. Blake
      Pages 155-181
  4. Relationships in Clinical Practice

    1. Front Matter
      Pages 183-183
    2. Kathryn E. H. Reilly
      Pages 185-204
    3. Mark B. Mengel
      Pages 205-235
    4. Howard F. Stein
      Pages 237-265
    5. James W. Mold
      Pages 267-296
  5. Values in Clinical Practice

    1. Front Matter
      Pages 297-297
    2. James W. Mold, Richard A. Wright
      Pages 299-316
    3. Steven A. Crawford
      Pages 317-336
    4. Garth L. Splinter
      Pages 337-359
  6. Conclusions

    1. Front Matter
      Pages 361-361
    2. Mark B. Mengel, Richard A. Wright
      Pages 363-391
  7. Back Matter
    Pages 393-418

About this book


As we move into the 21st century it is becoming increasingly difficult to offer appropriate introductory clinical experiences for medical students. Many schools offer clinical experiences in the first year of medical school, when the learner has little background in the traditions and origins of the doctor-patient interaction. Others begin this process in the second year, after a professional language base has been established, but concise educational materials are scarce that integrate the meaning of the privileged clinical encounter with the process and content of interviewing and examining patients. In the tertiary hospitals, where most medical schools are based, the educators must provide an orienta­ tion to the clinical encounter, an intensely personal experience, in the midst of glittering technological marvels that easily distract both the novice physician and the wizened teacher. Understanding the context and historical basis for the privilege of interviewing and examining another person about intimate matters relating to health and disease is essential to this process. Considering these factors, this textbook is written to assist medical educators and medical students involved in early clinical training. As the demand for "high-tech" medicine has accelerated, so has the public concern over the loss of "high-touch" or compassionate, humane interactions with physicians. Physicians are perceived as more concerned with readouts from machines and fiberoptic views of the patient than with understanding and car­ ing about the people we have labeled as patients.


care economics ethics health health care hospital management medical ethics medicine

Editors and affiliations

  • Mark B. Mengel
    • 1
  1. 1.Department of Family Medicine, Health Sciences CenterUniversity of OklahomaOklahoma CityUSA

Bibliographic information

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